A nurse is providing discharge teaching about infection control at home for a client who has tuberculosis. Which of the following statements by the client indicates an understanding of the teaching?
"I will have to move out of my family's home until I am no longer contagious."
"I will place my used tissues in a plastic bag."
"I will cover my mouth with my hands when I have to cough."
"I will not go in public areas until I am cured."
The Correct Answer is B
Rationale:
A. "I will have to move out of my family's home until I am no longer contagious.": It is not necessary for the client to move out of the home, but precautions such as proper ventilation, wearing a mask, and isolating in a separate room can reduce the risk of transmission to household members during the contagious period.
B. "I will place my used tissues in a plastic bag.": Disposing of used tissues in a sealed plastic bag helps contain respiratory secretions and prevent the spread of Mycobacterium tuberculosis. This is an appropriate infection control practice that demonstrates understanding of proper hygiene.
C. "I will cover my mouth with my hands when I have to cough.": Covering the mouth is essential, but using the hands increases the risk of spreading bacteria through contact with surfaces. The client should be instructed to use a tissue or the inside of the elbow to minimize contamination.
D. "I will not go in public areas until I am cured.": Total avoidance of public areas is not necessary, but the client should avoid crowded places and public transport during the initial phase of treatment, typically the first few weeks, when they are still contagious.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"A":{"answers":"A,C"},"B":{"answers":"A,C"},"C":{"answers":"B"},"D":{"answers":"B"},"E":{"answers":"A"},"F":{"answers":"A,C"},"G":{"answers":"B"}}
Explanation
Rationale:
- Location of pain: Severe pain out of proportion to the injury, especially with passive stretch, is a classic sign of compartment syndrome. DVT also presents with localized pain in the affected limb, typically worsening over time due to venous congestion.
- Temperature of extremity (Compartment Syndrome & DVT): A cool extremity in compartment syndrome indicates compromised arterial blood flow due to increased pressure within the fascial compartment. In DVT, the extremity may be warm early on, but impaired circulation can eventually result in coolness and cyanosis.
- Nail bed assessment (Compartment Syndrome): Cyanotic or dusky nail beds reflect inadequate oxygen delivery from restricted blood flow, commonly seen in advanced compartment syndrome. This is a late and critical sign requiring urgent intervention to prevent permanent tissue damage.
- Location of edema (Compartment Syndrome & DVT): Localized swelling occurs in compartment syndrome due to rising intracompartmental pressure. In DVT, venous obstruction leads to fluid accumulation and unilateral leg edema, often accompanied by warmth and discomfort.
- Respiratory assessment (Fat Embolism Syndrome): FES often presents with sudden onset dyspnea, tachypnea, and hypoxemia due to fat globules entering the pulmonary circulation. These respiratory symptoms typically arise 24–72 hours after long bone trauma.
- Skin assessment (Fat Embolism Syndrome): A petechial rash, especially on the chest, upper arms, and neck, is a distinguishing feature of FES. It results from occlusion of dermal capillaries by fat globules and is considered a hallmark sign of the condition.
- Neurological status (Fat Embolism Syndrome): Altered mental status, confusion, and decreased alertness can occur in FES due to cerebral fat embolization. Neurologic involvement differentiates FES from other conditions like DVT or compartment syndrome, which typically do not cause cognitive changes.
Correct Answer is C,D,A,B
Explanation
Rationale:
- Apply clean gloves: Wearing clean gloves is the first step to maintain standard precautions and prevent contamination during specimen collection.
- Swab the wound in a zig-zag manner: This technique ensures that the swab collects cells and fluid from multiple areas of the wound, increasing the likelihood of detecting any microorganisms present.
- Place the swab in the culture container: Immediately inserting the swab into the sterile container maintains the integrity of the specimen and prevents contamination.
- Ensure the container is labeled with the date and time of collection: Labeling the specimen is critical for accurate identification and processing by the lab. It must be done after collection to ensure the label reflects the correct time and date.
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